Ms Patricia Lee Fredrick, PNP in Saint Louis, MO

Ms Patricia Lee Fredrick, PNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Saint Louis, Missouri. Her current practice location is 1 Childrens Pl, Div Ped Nephrology, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 454-6043.

Ms Patricia Lee Fredrick is licensed to practice in Missouri (license number 2014023964) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1336541549.

Contact Information

	Ms Patricia Lee Fredrick, PNP
	1 Childrens Pl, Div Ped Nephrology, Saint Louis, MO 63110-1002
	(314) 454-6043
	(888) 463-6898

Map and Direction

Provider's Profile

Full Name	Ms Patricia Lee Fredrick
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	1 Childrens Pl, Saint Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336541549
Provider Enumeration Date: 09/18/2014
Last Update Date: 04/25/2024

Medicare PECOS Information:

PECOS PAC ID: 2264727502
Enrollment ID: I20160825000242

Medical Identifiers

Medical identifiers for Ms Patricia Lee Fredrick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336541549	NPI	-	NPPES
420040522	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	2014023964 (Missouri)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	2014023964 (Missouri)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Patricia Lee Fredrick allows following entities to bill medicare on her behalf.

Entity Name	Mercy Hospitals East Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851431738 PECOS PAC ID: 1658276811 Enrollment ID: O20031218000107

Entity Name	Mercy Clinic East Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851335228 PECOS PAC ID: 7214827922 Enrollment ID: O20070521000006

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Patricia Lee Fredrick is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ms Patricia Lee Fredrick, PNP Po Box 60352, Saint Louis, MO 63160-0352 Ph: (314) 454-6043	Ms Patricia Lee Fredrick, PNP 1 Childrens Pl, Div Ped Nephrology, Saint Louis, MO 63110-1002 Ph: (314) 454-6043

Reviews and Comments

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Ms Patricia Lee Fredrick, PNP - Medicare Nurse Practitioner in Saint Louis, MO